Management of a partial-thickness scleral-flap buttonhole during trabeculectomy

Area of Science:

• Ophthalmology
• Surgical Techniques
• Glaucoma Surgery

Background:

• Trabeculectomy is a common glaucoma surgery.
• Intraoperative complications can affect surgical outcomes.
• Scleral flap buttonholes are a known complication.

Observation:

• A partial-thickness Tenon's-conjunctival graft was utilized.
• The graft was used to repair an intraoperative scleral flap buttonhole.
• Trabeculectomy was performed with adjunctive mitomycin C.

Findings:

• Successful repair of an intraoperative scleral flap buttonhole was achieved.
• The use of Tenon's-conjunctival tissue facilitated flap closure.
• This technique maintained the integrity of the surgical site.

Implications:

• This method offers a viable solution for managing scleral flap buttonholes.
• It may help prevent complications associated with unrepaired defects.
• Further research can explore the long-term efficacy of this repair technique.